Big Spring SD Student Information Change Request Form
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Required
This form can be used to submit parent/guardian name changes, phone number / email address changes, removing emergency contacts, or adding new emergency contacts.
Student 1 Name
*
required
First Name
Last Name
Student 1 School
Big Spring HS
Big Spring MS
Mt Rock Elementary
Newville Elementary
Oak Flat Elementary
Student 1 Grade
List other names & grades of students
PARENT/GUARDIAN NAME CHANGE
Do you wish to make a Parent/Guardian Name Change?
Yes
No
Previous Name
New Name
PHONE NUMBER / EMAIL ADDRESS CHANGE
Do you wish to change a phone number or email address for a parent/guardian?
Yes
No
Parent/Guardian 1
First Name
Last Name
Items to Change for Parent/Guardian 1
Please select up to 4 choices
Email Address
Main Phone Number
Alternate Phone Number
Global Connect Number
Please select up to 4 choices
Parent 1 Email Address
Parent 1 Main Phone Number
Parent 1 Alternate Phone Number
Parent 1 Global Connect Number
Parent/Guardian 2
First Name
Last Name
Items to Change for Parent/Guardian 2
Please select up to 4 choices
Email Address
Main Phone Number
Alternate Phone Number
Global Connect Number
Please select up to 4 choices
Parent 2 Email Address
Parent 2 Main Phone Number
Parent 2 Alternate Phone Number
Parent 2 Global Connect Number
EMERGENCY CONTACT CHANGES
These are individuals who will be contacted if parents/guardians cannot be reached.
Do you want to remove Emergency Contact(s)?
Yes
No
Enter name(s) of Emergency Contacts to remove:
Do you wish to add Emergency Contacts?
Yes
No
List name, phone number, and relationship for the new emergency contact(s) to be added.
Parent Name/Signature
*
required
Contact Phone Number (if the registrar has any questions)
Email Address
If there are any other changes you would like to make or other information you would like to share, please add here
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